社会经济地位与怀孕和新生儿后果之间的关联:国际多中心队列
Gillian M Maher1,2, Liam J Ward3,4, Leah Hernandez3
1INFANT Research Centre, University College Cork, Cork, Ireland.
Acta obstetricia et gynecologica Scandinavica
|August 21, 2023
概括
这项研究发现,在高收入国家,个人社会经济因素与怀孕并发症之间的联系很少. 然而,低学历与妊娠高血压有关,多种风险因素增加了早产风险.
科学领域:
- 生殖健康 生殖健康
- 围产期流行病学 围产期流行病学
- 健康的社会决定因素
背景情况:
- 以前关于社会经济地位和怀孕并发症的研究是相互矛盾的,通常使用基于区域的措施.
- 个人层面的社会经济因素需要进一步调查与不良怀孕和新生儿结局有关.
研究的目的:
- 检查个人社会经济因素与广泛的不良怀孕和新生儿结果之间的关联.
- 利用来自瑞典,荷兰和爱尔兰共和国IMPROVED出生队列的数据.
主要方法:
- 这项研究包括来自IMPROVED出生队列 (2013-2017) 的2879名参与者.
- 个人社会经济数据 (教育,就业,收入,关系状况) 在怀孕15周时自报.
- 怀孕和新生儿结局在分娩后72小时内进行评估,并通过医疗记录确认.
- 使用多变量逻辑回归,根据母亲的年龄,BMI,吸烟,酒精消费和队列中心进行调整.
主要成果:
- 较低的教育水平与妊娠高血压的几率增加有关 (OR: 1.74).
- 中等收入水平显示,紧急剖腹产的几率降低 (OR:0.59).
- 暴露于两个或两个以上的社会经济风险因素与早产风险增加有关 (OR: 1.75).
- 在社会经济变量和新生儿结局之间没有发现显著的关联.
结论:
- 总的来说,在高收入环境中,个人社会经济因素与怀孕/新生儿结果之间存在强烈关联的证据有限.
- 观察到很少有显著的关联,主要是关于怀孕结果.
相关概念视频
01:52Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
01:29Environmental Influences on Intelligence
342
Despite the strong genetic influence on traits like intelligence, environmental factors significantly shape outcomes. For example, while over 90% of height variation is due to genetic differences, environmental factors such as nutrition also have a notable impact. Similarly, for intelligence, changes in a child's surroundings can significantly alter their IQ. Research shows that enriched environments boost children's academic success and help them develop key cognitive skills. Children...
342
01:29Bias in Epidemiological Studies
352
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
352
01:30Socioemotional Development during Infancy
84
Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
Primary Temperament Types
84